Organization
AT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MMASI (OWNER/PRESIDENT/ADMINISTRATOR)
(617) 652-1689
Entity
Organization
Contact information
Practice address
5 ICELAND RD, ANDOVER, MA 01810-2969
(617) 652-1689
Mailing address
5 ICELAND RD, ANDOVER, MA 01810-2969
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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